AMANDA GRACE BUDACH - Physical Therapist License in Illinois | # 070015359

AMANDA GRACE BUDACH

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070015359

License Status

NOT RENEWED

Business

N

First Name

AMANDA

Middle

GRACE

Last Name

BUDACH

Business Name

AMANDA GRACE BUDACH

Original Issue Date

10/05/2006

Effective Date

09/18/2008

Expiration Date

09/30/2010

State

IL

Ever Disciplined

N

LastModifiedDate

11/08/2010